Active NPI
Blakesburg Community Fire Board
- Ambulance
- Blakesburg, IA
National Provider Identifier
1770170425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- BLAKESBURG COMMUNITY FIRE BOARD
- Practice address
- 5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000 - Phone
- (641) 680-2888
- NPI assigned
- Dec 29, 2020
- Last updated
- Feb 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Curtis Woten, EMT
- Title
- Asst. Service Director/Captain
- Phone
- (641) 680-2888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000
Mailing address
5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000
Phone (641) 680-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0452458 | Medicaid | IA | |
| 07161 | Other | IA | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | unit824@live.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1770170425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 MONROE WAPELLO RD",
"city": "BLAKESBURG",
"state": "IA",
"postal_code": "525368000",
"telephone_number": "641-680-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 MONROE WAPELLO RD",
"city": "BLAKESBURG",
"state": "IA",
"postal_code": "525368000",
"telephone_number": "641-680-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLAKESBURG COMMUNITY FIRE BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2023-02-03",
"certification_date": "2020-12-31",
"status": "A",
"authorized_official_last_name": "WOTEN",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "ASST. SERVICE DIRECTOR/CAPTAIN",
"authorized_official_telephone_number": "641-680-2888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0452458",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07161",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "unit824@live.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5621 Monroe Wapello Rd",
"city": "Blakesburg",
"state": "IA",
"country_code": "US",
"postal_code": "525368000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blakesburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.